MS. MELODY PETERSON, LAC

Case Manager/Care Coordinator

Active Individual
NPI: 1255348504

Practice Address

2624 9TH AVE S
Fargo, ND 58103

Phone: (701) 298-4500

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 1269 (ND)
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1255348504 is the National Provider Identifier for MS. MELODY PETERSON, LAC, a Case Manager/Care Coordinator provider located in Fargo, ND. This NPI was enumerated on August 1, 2006.
MS. MELODY PETERSON, LAC practices at 2624 9TH AVE S, Fargo, ND 58103.

Quick Facts

NPI
1255348504
Type
Individual
Enumerated
Aug 1, 2006
Last Updated
Sep 11, 2025

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